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  1. Fast tracking in cardiac surgery: is it safe? | PSNet

    psnet.ahrq.gov/issue/fast-tracking-cardiac-surgery-it-safe
    October 05, 2022 - Study Fast tracking in cardiac surgery: is it safe? Citation Text: MacLeod JB, D’Souza K, Aguiar C, et al. Fast tracking in cardiac surgery: is it safe? J Cardiothorac Surg. 2022;17(1):69. doi:10.1186/s13019-022-01815-9. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

  2. Adverse drug events in pediatric outpatients. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-pediatric-outpatients
    February 06, 2008 - Study Adverse drug events in pediatric outpatients. Citation Text: Kaushal R, Goldmann DA, Keohane C, et al. Adverse drug events in pediatric outpatients. Ambul Pediatr. 2007;7(5):383-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

  3. Implementation of an emergency department sign-out checklist improves transfer of information at shift change. | PSNet

    psnet.ahrq.gov/issue/implementation-emergency-department-sign-out-checklist-improves-transfer-information-shift
    October 30, 2019 - Study Implementation of an emergency department sign-out checklist improves transfer of information at shift change. Citation Text: Dubosh NM, Carney D, Fisher J, et al. Implementation of an emergency department sign-out checklist improves transfer of information at shift change. J Emerg…

  4. The relationship between hospital systems load and patient harm. | PSNet

    psnet.ahrq.gov/issue/relationship-between-hospital-systems-load-and-patient-harm
    November 12, 2008 - Study The relationship between hospital systems load and patient harm. Citation Text: Pedroja AT, Blegen MA, Abravanel R, et al. The relationship between hospital systems load and patient harm. J Patient Saf. 2014;10(3):168-75. doi:10.1097/PTS.0b013e31829e4f82. Copy Citation Format…

  5. Measuring the overall development of patient safety in a new hospital using trigger tools. | PSNet

    psnet.ahrq.gov/issue/measuring-overall-development-patient-safety-new-hospital-using-trigger-tools
    April 12, 2019 - Study Measuring the overall development of patient safety in a new hospital using trigger tools. Citation Text: Adamovic I, Dahlem P, Brachmann J. Measuring the overall development of patient safety in a new hospital using trigger tools. Int J Qual Health Care. 2024;36(3):mzae064. doi:10…

  6. Encouraging employees to speak up to prevent infections: opportunities to leverage quality improvement and care management processes. | PSNet

    psnet.ahrq.gov/issue/encouraging-employees-speak-prevent-infections-opportunities-leverage-quality-improvement-and
    January 23, 2017 - Study Encouraging employees to speak up to prevent infections: opportunities to leverage quality improvement and care management processes. Citation Text: Robbins J, McAlearney AS. Encouraging employees to speak up to prevent infections: Opportunities to leverage quality improvement and …

  7. Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. | PSNet

    psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure
    March 09, 2022 - Study Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. Citation Text: Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediat…

  8. Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. | PSNet

    psnet.ahrq.gov/issue/cost-illness-patient-reported-adverse-drug-events-population-based-cross-sectional-survey
    January 27, 2012 - Study Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. Citation Text: Gyllensten H, Rehnberg C, Jönsson AK, et al. Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. BMJ Open. 2013;3(6).…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42924/psn-pdf
    April 24, 2014 - training programs include formal curricula in error disclosure, most residents and medical students learn

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43589/psn-pdf
    November 17, 2014 - fear-punitive-response-hospital-errors-lingers https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46196/psn-pdf
    October 13, 2018 - There is a growing recognition that surgeons must learn these nontechnical skills during training in

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41257/psn-pdf
    April 22, 2012 - framework would substantially improve our ability to not only identify contributing factors but also learn

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47208/psn-pdf
    July 19, 2018 - Hospitals share their data through SPS and have an opportunity to learn from one another.

  14. A collaborative learning network approach to improvement: the CUSP learning network. | PSNet

    psnet.ahrq.gov/issue/collaborative-learning-network-approach-improvement-cusp-learning-network
    July 21, 2017 - Commentary A collaborative learning network approach to improvement: the CUSP learning network. Citation Text: Weaver SJ, Lofthus J, Sawyer M, et al. A Collaborative Learning Network Approach to Improvement: The CUSP Learning Network. Jt Comm J Qual Patient Saf. 2015;41(4):147-159. Cop…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43253/psn-pdf
    May 01, 2015 - interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33645/psn-pdf
    February 01, 2007 - Learn how diagnoses emerge from subconscious processing and the inherent biases that can lead to errors … Learn de-biasing approaches that might prevent these errors? … Learn the principles of reflective practice. … Anything that allows you to learn from your own mistakes or those of others will increase the chances

  17. Stanford cuts liability premiums with cash offers after errors. | PSNet

    psnet.ahrq.gov/issue/stanford-cuts-liability-premiums-cash-offers-after-errors
    August 24, 2011 - November 10, 2010 Patient safety: what can medicine learn from aviation?

  18. "I'm sorry": Why is that so hard for doctors to say? | PSNet

    psnet.ahrq.gov/issue/im-sorry-why-so-hard-doctors-say
    November 10, 2010 - August 6, 2008 Patient safety: what can medicine learn from aviation?

  19. Patient Safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-5
    February 22, 2006 - February 12, 2019 Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn

  20. Top 10 ways to improve patient safety now. | PSNet

    psnet.ahrq.gov/issue/top-10-ways-improve-patient-safety-now
    November 10, 2010 - August 6, 2008 Patient safety: what can medicine learn from aviation?
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